Exogenous melatonin ameliorates embryo–maternal cross-talk in early pregnancy in sheep

in Reproduction
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Irene Viola Department of Veterinary Sciences, University of Turin, Grugliasco, Torino, Italy

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Cecilia Sosa Department of Biochemistry and Cell and Molecular Biology, Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain

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Paolo Accornero Department of Veterinary Sciences, University of Turin, Grugliasco, Torino, Italy

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Isabella Manenti Department of Veterinary Sciences, University of Turin, Grugliasco, Torino, Italy

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Francisco Canto Environmental Science Research Institute (IUCA), Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain

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Silvia Miretti Department of Veterinary Sciences, University of Turin, Grugliasco, Torino, Italy

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José Alfonso Abecia Environmental Science Research Institute (IUCA), Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain

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Paola Toschi Department of Veterinary Sciences, University of Turin, Grugliasco, Torino, Italy

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Correspondence should be addressed to J A Abecia: alf@unizar.es
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In brief

Melatonin plays a crucial role in enhancing reproductive performance in small ruminants. This paper reveals the effects of exogenous melatonin on the placental and endometrial rearrangement in early pregnancy in sheep.

Abstract

Early pregnancy losses cause 25% of pregnancy failures in small ruminants because of asynchrony between conceptus and uterine signals. In this context, melatonin plays a crucial role in sheep reproductive dynamics, but little is known about its effects during the peri-implantation period. We hypothesized that melatonin supports embryo implantation by modulating the uterine microenvironment. This study aimed to assess the effects of exogenous melatonin on the endometrial and early placental rearrangement. Ten multiparous ewes either did (MEL, n = 5) or did not (CTR, n = 5) receive a subcutaneous melatonin implant (18 mg) 50 days before a synchronized mating. On day 21 of pregnancy, the sheep were euthanized. MEL ewes exhibited a higher prolificity rate (2.8 vs 2.0 embryos/ewe) and plasma progesterone levels (3.84 vs 2.96 ng/mL, P < 0.05) than did CTR ewes. Groups did not differ significantly in embryo crown-rump length. MEL placentas had significantly (P < 0.001) more binucleated trophoblast cells in the chorion region, and ovine placental lactogen expression was significantly (P < 0.05) more strongly upregulated than in CTR. Exogenous melatonin increased significantly (P < 0.05) gene expression of angiogenic factors (VEGFA, VEGFR1, IGF1R), IFNAR2, and PR in the caruncular endometrium. Expression of the MT2 receptor in the endometrium and placenta was significantly (P < 0.05) higher in the MEL group. These results indicate that melatonin implants acted differentially on uterine and placental rearrangement. Melatonin increases differentiation in the placenta and induces changes that could promote vessel maturation in the endometrium, suggesting that it enhances the uterine microenvironment in the early stage of pregnancy in sheep.

Abstract

In brief

Melatonin plays a crucial role in enhancing reproductive performance in small ruminants. This paper reveals the effects of exogenous melatonin on the placental and endometrial rearrangement in early pregnancy in sheep.

Abstract

Early pregnancy losses cause 25% of pregnancy failures in small ruminants because of asynchrony between conceptus and uterine signals. In this context, melatonin plays a crucial role in sheep reproductive dynamics, but little is known about its effects during the peri-implantation period. We hypothesized that melatonin supports embryo implantation by modulating the uterine microenvironment. This study aimed to assess the effects of exogenous melatonin on the endometrial and early placental rearrangement. Ten multiparous ewes either did (MEL, n = 5) or did not (CTR, n = 5) receive a subcutaneous melatonin implant (18 mg) 50 days before a synchronized mating. On day 21 of pregnancy, the sheep were euthanized. MEL ewes exhibited a higher prolificity rate (2.8 vs 2.0 embryos/ewe) and plasma progesterone levels (3.84 vs 2.96 ng/mL, P < 0.05) than did CTR ewes. Groups did not differ significantly in embryo crown-rump length. MEL placentas had significantly (P < 0.001) more binucleated trophoblast cells in the chorion region, and ovine placental lactogen expression was significantly (P < 0.05) more strongly upregulated than in CTR. Exogenous melatonin increased significantly (P < 0.05) gene expression of angiogenic factors (VEGFA, VEGFR1, IGF1R), IFNAR2, and PR in the caruncular endometrium. Expression of the MT2 receptor in the endometrium and placenta was significantly (P < 0.05) higher in the MEL group. These results indicate that melatonin implants acted differentially on uterine and placental rearrangement. Melatonin increases differentiation in the placenta and induces changes that could promote vessel maturation in the endometrium, suggesting that it enhances the uterine microenvironment in the early stage of pregnancy in sheep.

Introduction

Management of reproduction in ruminants has improved to ensure specific production standards; however, among reproductive disorders, early pregnancy losses cause 25% of gestation failures in small ruminants and up to 40% in cattle (Diskin & Morris 2008, De la Concha-Bermejillo & Romano, 2021). Therefore, studying reproductive dynamics in the early stages of pregnancy is important to improve the reproductive health of sheep.

Melatonin (N-acetyl-5-methoxy tryptamine) is a hormone that plays a fundamental role in the regulation of reproductive seasonality in sheep. Subcutaneous melatonin implants can regulate the length of the ovine breeding season, which increases animal fertility and prolificity. Apparently, that is because of the protective role of melatonin, which helps to maintain a uterine environment that promotes fetal growth and survival (Abecia et al. 2018). Melatonin produced by the mother can cross the placenta unaltered (Torres-Farfan et al. 2008, Eifert et al. 2015) and can improve embryo quality by reducing oxidative stress, enhancing corpus luteum competence, and modulating the mother’s mechanism for recognizing pregnancy in sheep (Abecia et al. 2008). Melatonin acts by binding to the MT1 and MT2 receptors, which are expressed in the ovine reproductive system (González-Arto et al. 2017, Abecia et al. 2018). The expression of melatonin receptors occurs in the ovine endometrium throughout the estrous cycle (Sosa et al. 2023). Melatonin receptors are present in the trophoblast of ovine blastocysts, which suggests that melatonin might play a role in placental development (Casao et al. 2019); however, most research into the function of melatonin in placentation in ruminants has centered on the latter stages of gestation (McCarty et al. 2018, Trotta et al. 2021). Furthermore, most research has involved undernourished sheep in assessing the recovery power of melatonin on the reproductive system and pregnancy because of melatonin’s putative antioxidant and free-radical-scavenging effects (Lemley et al. 2012, Vázquez et al. 2013, Cosso et al. 2021). Little is known about the effects of melatonin implants in the early stages of pregnancy in sheep. Melatonin alters the physiology and survival of the conceptus; therefore, we suspected that melatonin promotes embryo implantation by simultaneously acting on the endometrial and placental rearrangement. The objective of this study was to explore whether and how exogenous melatonin improves the uterine microenvironment to support normal early placental development, allowing pregnancy proceeding in sheep. To that end, we focused on conceptus (fetus and placenta) morphology and hormonal and molecular changes that occur in the uterus and placenta following melatonin treatment. In particular, we selected a panel of genes that regulate vital mechanisms in the peri-implantation window such as cell growth and adhesion, tissue vascularization, and hormonal trafficking.

Materials and methods

Ethical approval

The flock was housed at the experimental farm of the University of Zaragoza, Spain (41°40′ N 0°53′ W). The experiment followed a protocol (PI47/21) that was approved by the Ethics Committee for Animal Experiments at the University of Zaragoza and was in accordance with the requirements of the European Union for Scientific Procedure Establishments.

Animal management and melatonin treatment

In late February, 50 days before synchronized estrus, 20 multiparous Rasa Aragonesa ewes (mean body weight ± s.d.: 58 ± 4 kg; BCS: 2.75 ± 0.40) were selected from the experimental sheep flock at the University of Zaragoza, which either did (MEL group, n = 10) or did not (CTR group, n = 10) receive a single subcutaneous melatonin implant (18 mg; CEVA Salud Animal, Barcelona, Spain) at the base of the left ear. Two weeks after implantation, intravaginal progestagen sponges (fluorogestone acetate 30 mg, Sincropart, CEVA Salud Animal) were inserted for 12 days. At pessary withdrawal, 480 IU eCG (Sincropart, CEVA Salud Animal) was administered, and five rams of proven fertility were introduced into the flock 48 h later and remained for 2 days. Twenty-one days after the onset of mating, the ewes were euthanized (T-61, MSD Animal Health, Salamanca, Spain; 4–6 mL/50 kg live weight), and ten pregnant ewes (5 from each group) were randomly selected for conceptus and endometrium sampling. Blood samples were collected from the jugular vein using a heparin tube vacutainer on the day of implant insertion, sponge removal, and the last day of the experiment.

Sample collection

The conceptus was extracted through an incision in the uterine horns and, to assess embryo vitality, viewed under a stereomicroscope. A microsurgical slicer and tweezer were used to separate the entire placenta from the embryo. To measure crown-rump length (Ptak et al. 2013), photos of each embryo, including a reference meter, were analyzed with the image processing software ImageJ Fiji 1.53s (NIH; https://imagej.nih.gov/ij/). Thereafter, the embryos were fixed in 4% formaldehyde at 4°C overnight before being stored in 70% ethanol at room temperature (RT) for histological examination.

Placenta samples were snap-frozen in liquid nitrogen and stored at −80°C for molecular analysis or fixed in 4% formaldehyde and stored in 70% ethanol for histological and histochemical analyses. After the conceptus was removed, the uterus was placed on ice, and samples of caruncular and intercaruncular endometrium were dissected from the middle third of the placenta-bearing uterine horn, snap-frozen in liquid nitrogen and stored at −80°C.

Progesterone analysis

Plasma was immediately separated by centrifugation (2000 × g for 10 min at 4°C) and stored at −20°C. Extraction of progesterone (P4) from plasma was performed following modifications of the DetectX® Steroid Liquid Sample Extraction protocol (Arbor Assays) per Viola et al. (2023). Hormone concentrations of day 21 samples were quantified based on a P4 ELISA kit (DRG Diagnostics GmbH) according to the manufacturer’s instructions. P4 concentrations were expressed as ng/mL.

Histological procedure analysis

Fixed samples (placentas and embryos) were dehydrated in ethanol solutions in a range of concentrations (80%, 90%, 96%, and 100%) and cleared in a xylene mixture, 3 min for each step, following Kaufman (1995). Thereafter, placentas and fetuses were embedded in Paraplast. Serial sections (thickness = 5 μm for embryos and 7 μm for placentas) obtained by a microtome (Leica RM2155) were subjected to hematoxylin-and-eosin staining. Before staining, the sections were dewaxed in xylene, rehydrated in a series of ethanol solutions of decreasing concentrations, and washed in running tap water. The stained sections were cover-slipped using DPX mountant (Sigma, 06522) for histology. A Nikon Eclipse Ti2 High-Content Screening microscope was used to take photos. The proportion (%) of binucleated cells was calculated based on 15 randomly selected fields containing at least 500 cells.

Immunochemistry

Placenta sections were placed on Superfrost microscope slides (Thermo Fisher Scientific, 10149870), dewaxed in xylene (twice for 3 min), rehydrated in a series of ethanol solutions of decreasing concentrations (100%, 96%, 90%, and 80%) for 1 min each, and permeabilized for 30 min in TBS (Tris 0.1 M, NaCl 8 g, pH 7.6) and 0.05% Tween. After a 30-min incubation in a warm antigen retrieval solution (Dako, S1699), the slides were left to cool at RT. Non-specific antigen sites were blocked with 1% BSA at RT for 1 h. Subsequently, samples were incubated with alpha-smooth muscle actin antibody (aSMA, 1:200; Sigma-Aldrich, A5228) for 1 h at RT. After extensive washing with TBS, slides were incubated in the dark with Alexa Fluor 594 goat anti-mouse secondary antibody (1:500; Invitrogen, A32723) for 1 h at RT. Simultaneously, negative control and no-primary antibody control were processed similarly. The slides were again washed with TBS before DAPI (Thermo Scientific, D1306) was added for 10 min at RT for nuclei staining. Photos were taken by a Leica SP8 confocal fluorescent microscope (Leica Microsystems) at 40× magnification.

Western blot

A sterile glass potter was used to extract protein from placenta samples. One gram of tissue was lysed for 5 min on ice in 1 mL lysis solution (10 mM Tris HCl pH 7.4, 150 mM NaCl, 1 mM EDTA, 1% Triton X-100, 0.1% SDS, 0.5% sodium deoxycholate, and 0.01% sodium azide), a protease inhibitor cocktail (1:100), 1 mM sodium orthovanadate, and 1 mM phenylmethylsulfonyl fluoride. The lysate was centrifuged at 4°C for 15 min at 15,000 × g, and the amount of protein in the supernatants was quantified by DC Protein Assays (Bio-Rad Laboratories) following the protocol’s instructions. For western blotting, samples (25 μg of total protein) were resolved on a 12% polyacrylamide gel and transferred to 0.2 μm nitrocellulose blotting membranes (Amersham Protran Premium). Membranes were blocked at RT for 1 h in 10% BSA TBS (TBS–Tween, 10 mM Tris and 150 mM NaCl, pH 7.4, 0.1% Tween 20), then incubated overnight at 4°C with antibodies against alpha-tubulin (aTUB, 1:10,000, Sigma, T5168) or melatonin receptors (MEL-1A/B-R, 1:600, Santa Cruz Biotechnology, 398788). Membranes were washed in TBS–Tween and incubated at RT for 1 h with HRP-conjugated secondary antibody (1:15,000). Membranes were washed in TBS–Tween and incubated for 5 min at RT with Clarity Western ECL Substrate (Bio-Rad Laboratories). The proteins were visualized by exposing the membranes to an autoradiographic CL-XPosure Film (Thermo Fisher Scientific). Western blotting results were acquired with an EPSON Perfection V39 scanner. Densitometry analysis was performed by ImageJ Fiji 1.53s (NIH; https://imagej.nih.gov/ij/). Melatonin receptor expression was calculated relative to aTUB (reference control), and the HC11 cell line was used as a positive control (Presman et al. 2006). Immunoblotting was repeated twice on four samples.

RNA purification and retrotranscription

Total RNA from placenta samples was extracted using a Maxwell RSC simplyRNA tissue kit (Promega). RNA quality and concentrations were measured by Nanodrop (Thermo Fisher), and 1 μg was reverse transcribed together with a non-reverse transcribed control (no-RT) using an iScriptTM cDNA Synthesis kit (Bio-Rad Laboratories). Endometrial RNA was extracted using an NZY Total RNA Isolation kit (NZYTech, Lisbon, Portugal) with DNAse I treatment. RNA purity and concentrations were measured with a Nanodrop (Thermo Fisher), and integrity was assessed by electrophoresis. A First-Strand cDNA Synthesis Kit (NZYTech) was used to reverse transcribe 1 μg total RNA to cDNA. Retrotranscription reactions were performed in an iCycler Thermal Cycler (Bio-Rad Laboratories).

Gene expression

Gene expression analysis was performed on the following genes: melatonin receptor-2 (MT2, NM_001130938.1, 5′-CCCAGAGGGGTTGTTTGTCT-3′; 3′-TTCCCTGCGGAAGTTCTTGT-5′); progesterone receptor (PR, Z66555.1, 5′-GTCCCTAGCTCACAGCGTTT-3′; 3′-TGCCCGGGACTGGATAAATG-5′); interferon-alpha receptor-2 (IFNAR2, NM_001009342, 5′-ACATTCAGCAGGGTTCATAGCA-3′; 3′-TTTCTGTGGCTTTTCTGGTCTTC-5′); ovine placental lactogen (oPL, NM_001009309.4, 5′-AGCAACAACGGTGGCTAACT-3′; 3′-GCCATACTGTTCATCAAATCTGTT-5′); vascular endothelial growth factor-A (VEGFA, NM_001025110.1, 5′-AAACCTCACCAAAGCCAGCA-3′; 3′-GCCTCGGCTTGTCACATTTTT-5′); vascular endothelial growth factor receptor-1 (VEGFR1, uterus, XM_015098156.3, 5′-AGGACCTGAAGCTGTCTTGC-3′; 3′-GTTGCGTGGTCTGGTTGTTC-5′; placenta, AF488351.1, 5′-TGGATTTCAGGTGAGCTTGGA-3′; 3′-TCACCGTGCAAGACAGCTTC-5′); vascular endothelial growth factor receptor-2 (VEGFR2, NM_001278565.2, 5′-AGACAGAACCAAGTTAGCCCC-3′; 3′-TAGCCGCTTGTCTGGTTTGA-5′); insulin growth factor-2 (IGF2, uterus, NM_001009311.1, 5′-GGCTTCTACTTCAGCCGACC-3′; 3′-GGCACAGTAAGTCTCCAGCA-5′; placenta, 5′-TTCTTGCCTTCTTGGCCTTCG-3′; 3′-AAGCAACACTCTTCCACG-5′); insulin growth factor receptor-1 (IGF1R, uterus, AY162434.1, 5′-GGCTCAACCCAGGGAACTAC-3′; 3′-AGAAGAACACAGGCTCCGTC-5′; placenta, XM_027957015.2, 5′-GGACGGAGTACGCCG-3′; 3′-AGGGAGGGCGGGTTC-5′); angiopoietin-1 (ANGPT1, XM_004011787.5, 5′-GTGCAAATGTGCCCTCATGC-3′; 3′-TTTCCAAGGTTCTGTCCCGC-5′); angiopoietin-2 (ANGPT2, uterus, XM_004021671.5, 5′-TGGGTGGACGGTTATTCAGC-3′; 3′-GGGTTCCCGAATCCCACTTT-5′; placenta, XM_004021671.6, 5′-ATAGAAATAGGGACCAACC-3′; 3′-TTCTTATCTTGCAGTTTGC-5′); angiopoietin receptor (TIE2, AY288926.1, 5′-TTACCAGGTGGACATCTTTGC-3′; 3′-TTGGGCCATTCTCCTTTGG-5′); mucin-1 (MUC1, XM_027976040, 5′-CACCACTGCTGAGTTGGTGA-3′; 3′-AGGAAGGAAACTGGGCATCG-5′); and osteopontin (OPN, NM_001009224.1, 5′-ACCCTCCCGAGTAAGTCCAA-3′; 3′-TCAGGGGTTTCAGCATCGTC-5′).

Placenta cDNA samples were amplified by quantitative PCR (qPCR) in a CFX Connect real-time PCR detection system (Bio-Rad Laboratories) using the SsoAdvanced Universal SYBR Green Supermix (Bio-Rad Laboratories). Each run was performed in duplicate under the following conditions: 40 cycles of 94°C for 45 s, 58/60°C for 45 s, and 72°C for 1 min. Real-time PCR of endometrium was performed in a LightCycler 480 (Roche Diagnostics) using the NZYSpeedy qPCR Green master mix (NZYTech) and under the following amplification conditions: 2 min at 95°C, and 40 cycles of 5 s at 95°C, and 30 s at 60°C.

At the end of each run, dissociation curves were analyzed to confirm amplicon specificity and the absence of contamination or primer dimers. To avoid false-positive signals, negative controls (no sample) were included in each run. The relative expression of each gene was calculated based on the comparative threshold cycle method, normalized to the following housekeeping genes: ribosomal protein S9 (RPLS9, XM_027978859.3, 5′-CAAGTCCATCCACCATGCCC-3′; 3′-GACGGGATGTTCACCACCTG-5′) and ribosomal protein L32 (RPL32, XM_004018540.4, 5′-AAAATCAAGCGGAACTGGCG-3′; 3′-GGCATCAAGATCCTGGCCCTT-5′) for placenta; β-actin (ACTB, NM_001009784, 5′- CTCTTCCAGCCTTCCTTCCT-3′; 3′-GGGCAGTGATCTCTTTCTGC-5′) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH, NM_001190390.1, 5′- GGTTGTCTCCTGCGACTTCA-3′; 3′-AAGTGGTCGTTGAGGGCAAT-5′) for endometrium.

Statistical analysis

Shapiro–Wilk tests confirmed whether the data followed a normal distribution. The statistical significance of differences in endometrial transcript expression was assessed by a two-way ANOVA that included the main effects of melatonin treatment, endometrial region (caruncular or intercaruncular), and their interaction, followed by Fisher’s least significant difference tests to assess differences between groups. Gene expression data from CTR and MEL placentas and plasma P4 were assessed by nonparametric Mann–Whitney U-tests.

The significance of differences between groups in the proportion of cells that were binucleated was analyzed by Fisher’s exact test. Data are reported as the mean ± s.d. for embryo crown-rump length, or mean ± s.d. for P4 concentrations, binuclear cell counts, gene expression analysis, and western blot densitometry. Statistical differences were considered significant if P < 0.05.

Results

Ewes and embryos in vivo

MEL ewes had a higher potential litter size (2.0 vs 2.8 embryos/ewe, P < 0.05) and P4 plasma levels on day 21 (2.96 ± 0.45 vs 3.84 ± 0.81 ng/mL; P < 0.05) than did CTR ewes (Fig. 1). At the time of sampling, all embryos had heartbeats. The crown-rump length (6.2 ± 1.1 vs 6.1 ± 0.6 mm) did not differ significantly between groups; however, the distribution of the lengths of embryos appeared more restricted in the MEL group than it was in the CTR group (σ2 1.32 vs 0.36) (Fig. 2).

Figure 1
Figure 1

Plasma progesterone in pregnant ewes. Mean (±s.d.) plasma progesterone (P4) concentrations on day 21 of pregnancy in Rasa Aragonesa ewes that either did (MEL) or did not (CTR) receive a subcutaneous melatonin implant (*P < 0.05). Plasma samples were centrifuged and processed with diethyl ether at 80°C. P4 was extracted for evaporation by ultracentrifugation, and the concentration was measured by an ELISA kit and expressed as ng/mL. All analyses were repeated in duplicate. Melatonin implants increased the P4 level in plasma in pregnant ewes in the early stage of pregnancy.

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Figure 2
Figure 2

Embryo crown-rump. Mean (±s.d.) embryo crown-rump length measured immediately after uterus dissection on day 21 of pregnancy in Rasa Aragonesa ewes that either did (MEL) or did not (CTR) receive a melatonin implant. Embryos in the two groups appeared to be at the same stage in development (14–15 stage according to Carnegie classification (Butler and Juurlink 1987)) based on the measurement indicated in the violin plot (left). In addition, the distribution of embryos' crown-rump lengths was more restricted in the MEL group than it was in the CTR group.

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Endometrium gene expression profile

Melatonin treatment increased significantly (P < 0.05) the expression of the VEGFA and VEGFR1 genes but did not affect the expression of the other genes evaluated. Nevertheless, the differences between groups indicated that the effect was restricted to the caruncular region. Similarly, exogenous melatonin increased the expression of the PR, IFNAR2, IGF1R, and MT2 genes (P < 0.05, Fig. 3) in the caruncles but did not have a significant effect on gene expression in the intercaruncular endometrium.

Figure 3
Figure 3

Gene expression profile of endometrium. Relative mRNA expression levels of angiogenic and developmentally relevant factors were determined in the intercaruncular (IC) and caruncular (C) endometrium of day 21 pregnant sheep implanted (MEL) or not (CTR) with melatonin for 50 days. Expression levels of the target genes were normalized to β-actin (ACTB) and GAPDH as internal controls. Data are reported as mean arbitrary units ± s.e.m. (*P < 0.05; **P < 0.01; ****P < 0.0001).

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Overall, the expression of IGF2 and MT2 was significantly (P < 0.05) higher and expression of IFNAR2 (P < 0.05) and that of MUC1 (P < 0.01) were lower in the caruncular region than they were in the intercaruncular region; however, the increase in the expression of IGF2 and MT2 in the caruncular region was observed only in the MEL ewes, and the same effect was observed for VEGFR1 (P < 0.01). The expression of PR was significantly higher in the caruncles of both the CTR (P < 0.0001) and MEL (P < 0.05) ewes than it was in the intercaruncular region. In both MEL and CTR ewes, the expression of MUC1 was significantly (P < 0.05) lower in the caruncles. Expression of IFNAR2 was significantly (P < 0.01) lower in the caruncles than it was in the intercaruncular regions in the CTR but not in the MEL ewes.

Placenta histology, gene and protein expression profiles

Chorion-allantoid tissues of CTR and MEL placentas had similar morphologies at day 21 of pregnancy (Fig. 4). The juxtaposition of chorion and allantois layers in the placentas of control and melatonin-treated ewes was normal (Fig. 4A). At the chorion level, we observed cuboid-shaped cells that contained a single nucleus and binucleated cells (BNC) that were round and had more eosinophilic cytoplasm (Fig. 4D). The number of BNC in the trophectoderm epithelium was significantly (P < 0.0001) higher in the placentas of the MEL group than it was in the CTR group (Fig. 4E). In addition, a similarly developing vascular network was present in the allantoic regions in both groups (Fig. 4B). Immunohistochemistry analysis confirmed the expression of aSMA, a vessel maturation marker (Fig. 4C). Western blot analysis of melatonin receptors in the placenta indicated that expression was significantly (P < 0.05) higher in the MEL group than it was in the CTR group (Fig. 5). Analyses of gene expression in CTR and MEL placentas revealed that melatonin supplementation upregulates oPL mRNA expression (P = 0.04) (Fig. 4F); however, the expression of angiogenic factors (VEGFA, VEGFR1, IGF2, IGF1R, ANGPT2, and TIE2) did not differ significantly between groups (Fig. 6).

Figure 4
Figure 4

Morphology, BNCs detection, and oPL expression in the placenta. The figure panel shows the morphology of chorion-allantois and vessels of the placentas in ewes that received a melatonin implant. (A) Placenta had a chorion that was mainly composed of mononuclear cuboidal-shaped cells in a well-organized layer that was juxtaposed to the allantoic tissue. (B,C) Early blood vessels are identified in the allantoic region (red arrows), where aSMA detection (red staining) revealed the vessels’ structure. (C) The photo on the bottom left shows an example of BNCs in the chorion layer (black arrows). (D,E) Placentas from MEL ewes had many more BNCs than did those from CTR ewes, and had a higher oPL expression. Data are reported as mean ± s.e.m. for BNC counts and oPL mRNA expression, respectively (*P < 0.05; ****P < 0.0001).

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Figure 5
Figure 5

Melatonin receptor detection in the placenta of sheep in early pregnancy. Western blot analysis revealed that the expression of melatonin receptors in the placenta was significantly higher in melatonin-treated ewes than it was in non-implanted ewes. The HC11 cell line was used as a positive control and aTUB was the reference protein. Densitometry is expressed as a mean ± s.d. (*P < 0.05).

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Figure 6
Figure 6

Gene expression profiles in the placenta. A panel of angiogenic factors involved in early placenta development was selected and their mRNA expression was studied in ewes that either did (MEL) or did not (CTR) receive a melatonin implant. Data are reported as mean ± s.e.m., and groups did not differ significantly.

Citation: Reproduction 168, 5; 10.1530/REP-24-0172

Discussion

This study explored the effects of exogenous melatonin on the uterine microenvironment in the early stages of pregnancy in sheep. Exogenous melatonin supplementation influenced the endometrial and placental response for supporting embryo implantation and survival. In addition, melatonin acted on multiple mechanisms involved in pregnancy maintenance in the peri-implantation period. Melatonin treatment increased the number of embryos per ewe collected on day 21 of pregnancy, and earlier studies reported that melatonin had a beneficial role in in vitro blastocyst maturation and embryo development in sheep (Buffoni et al. 2014, Voiculescu et al. 2014). Although it cannot be known whether all embryos in our study would have developed to term, an increase in average litter size has been reported in melatonin-treated sheep (Abecia et al. 2007). Therefore, we suspected that melatonin supplements in the peri-implantation period might improve pregnancy outcomes in sheep. In support of that hypothesis, the range in sizes of embryos was narrower in melatonin-implanted ewes than in control ewes, which suggests a synchronization effect of melatonin on embryo development in early pregnancy, when most of the pregnancy losses occur in small ruminants (Diskin & Morris 2008). In addition, P4 action at the uterine level influences the embryo survival rate (Spencer et al. 2004). In our study, melatonin implants increased P4 plasma concentrations in ewes, as reported by Forcada et al. (2006), underscoring the possible role of melatonin in maintaining corpus luteum activity and, therefore, P4 secretion in sheep. In addition, exogenous melatonin increased the release of b-HCG in trophoblast cells in humans (Soliman et al. 2015). Recently, Duan et al. (2024) reported that melatonin promotes ovary activity by stimulating P4 secretion in sheep. In our study, the effect of melatonin on the P4 signaling system axis was indicated by an increase in PR in the caruncles of MEL ewes. In another study, melatonin treatment increased the abundance of PR on day 5 of pregnancy in the deep endometrial glands in sheep (Vázquez et al. 2013), and a similar effect was observed in the uterus of melatonin-treated rats (Abd-Allah et al. 2003). P4 concentration is influenced by the number of corpora lutea; nevertheless, our study has shown that MEL ewes had higher P4 levels than did CTR ewes that had similar numbers of fetuses (2.7 vs 3.1 ng/mL). In early pregnancy in sheep, the ovarian P4 supply must be maintained until about day 50, when the placenta starts to produce this hormone (Ricketts & Flint 1980). In our study, exogenous melatonin increased the caruncular gene expression of IFNAR2, which suggests a greater sensitivity to the embryo antiluteolytic signal, the interferon tau (IFNT). In addition to reinforcing the luteoprotective effect of IFNT, it facilitates the expression of interferon-stimulated genes that are essential for uterine receptivity to implantation (Bazer et al. 2008).

In examining the uterine molecular response, we observed that melatonin treatment doubled the expression of the MT2 receptor in the caruncles, which demonstrated a region-specific melatonin signaling activation. The caruncle represents the maternal portion of the placentome (sheep placenta morpho-functional unit; Davenport et al. 2023), which suggests that melatonin might affect fetal–maternal cross-talk. In addition, the conceptus produces IGFs, and the IGF2–IGF1R ligand–receptor pair is one of the most prominently expressed in the extraembryonic membrane–endometrium interface in sheep (Jia et al. 2023). Like Stevenson et al. (1994), we found that IGF2 mRNA was more strongly expressed in the caruncles than it was in the intercaruncular endometrium. Furthermore, the melatonin implant increased the caruncular expression of IGF1R, which suggests that the hormone supplement increased cross-talk in pregnant sheep.

Among angiogenic factors, which are responsible for ensuring adequate nutrient delivery, exogenous melatonin increased the expression of VEGFA and its receptor VEGFR1 in the caruncular region. In sheep, the increase in VEGF precedes uterine growth and the development of the microvasculature, and it is associated with an increase in the capillary size in the caruncle (Redmer et al. 1998, Reynolds et al. 2010). Possibly, the increase in endometrial expression observed in MEL ewes in our study might have enhanced maternal nutrient supply because of an improvement in caruncular vessel development.

In our study, the expression of the antiadhesive MUC1 was much lower in the caruncles than it was in the surrounding endometrium, but OPN remained high in both regions, which is consistent with the known roles that these glycoproteins play in the implantation cascade in sheep (Johnson et al. 2001, 2014). Exogenous melatonin did not have a significant effect on MUC1 or OPN. Effects of melatonin on endometrial extracellular matrix adhesion cannot be discarded since other relevant molecules, such as galectin 15 and integrin subunits, could be regulated.

Given the uterine physiological responses to exogenous melatonin, we examined the effects of melatonin on placental development and the expression of developmentally important factors. Studies have shown that the placenta expresses the melatonin machinery throughout pregnancy in humans (Lanoix et al. 2008, Soliman et al. 2015), but published data on sheep are available for mid-to-late pregnancy only (Eifert et al. 2015, Lemley & Vonnahme 2017, Sales et al. 2018). Our study has revealed that melatonin receptors (MT1/MT2) in the placenta are expressed in early pregnancy in sheep. Furthermore, the increase in placental lactogen (oPL) expression observed in the MEL ewes reflected an increase in the activation of melatonin signaling in these sheep. Exogenous melatonin did not appear to adversely affect chorion-allantoic development. An in vitro experiment by Ma et al. (2020) demonstrated that melatonin exerts pro- and anti-vascularization actions depending on the physiological and pathological conditions; therefore, we investigated whether melatonin improves vessel development and the expression of angiogenic factors. In our study, the vascular architecture did not differ significantly between treatment and control ewes. Furthermore, the immunolocalization of aSMA, which is associated with normal pericyte maturation on the basement membrane of the vascular endothelium (Benjamin et al. 1998), was similar in both groups. In addition, the molecular analyses indicated that the mRNA expression of angiogenic factors in the two groups was similar. Other sheep studies reported that under adverse conditions, such as intrauterine growth restriction (Lemley et al. 2012) or maternal undernutrition (Eifert et al. 2015), melatonin supplementation increased umbilical blood flow by approximately 20%; however, in mid-to-late gestation there was no significant effect on placental vascularity. In this light, we surmise that the beneficial effect of exogenous melatonin emerges when the conceptus is forced to grow in a suboptimal environment.

In our study, the positive effect of melatonin might have been related to the increase in BNCs, which are a feature of trophoblast differentiation in ruminants (Wooding 1984, 2022). BNCs migrate from the chorion layer and fuse with the maternal epithelium to ensure embryo implantation (Spencer et al. 2004). Our results suggest that melatonin supports the rearrangement of the fetal–maternal interface in early pregnancy. In another study, melatonin did not affect BNC differentiation in mid-to-late gestation in ewes (Mansour et al. 2019). Possibly, melatonin plays a role in placenta development in a time-dependent manner (Vasquez-Hidalgo et al. 2023). In the sheep placenta, BNCs exert most of the endocrine activity by releasing P4 and oPL (Spencer et al. 2004, Seo et al. 2019). Our study showed an increase in oPL mRNA expression in the placentas of MEL ewes. Takahashi et al. (2013) reported that oPL acted in partitioning nutrients in undernourished cows, and, in another study, plasma placental lactogen levels were lowest in women who were affected by placental insufficiency in which melatonin levels appeared to be reduced (Berbets et al. 2021). In general, we suspect that melatonin indirectly favors placenta efficiency in sheep.

In conclusion, our study demonstrated the effect of melatonin on the endometrium and placenta in early pregnancy in sheep. An increase in maternal plasma progesterone in melatonin-implanted ewes fostered uterine receptivity to embryo implantation. Melatonin supports pregnancy by acting on both sides of the fetal–maternal interface. At the uterine level, it acts in a region-specific manner, mainly improving the caruncular expression of developmentally crucial genes; in the placenta, it influences binuclear cell differentiation. Therefore, exogenous melatonin contributes to creating a more favorable uterine microenvironment for proper conceptus development and pregnancy maintenance.

Declaration of interest

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

Funding

This research was supported by a Grant for Internationalization from the University of Turin, Italy (TOSP_GFI_22_01_F), Fondazione CRT (TOSP_CRT_22_01), and the Gobierno de Aragón (group BIOFITER). FC was funded by the National Agency for Research and Development/Scholarship Program/Doctorado Becas Chile/2020 – 72210031.

Author contributions statement

IV, JA, and PT conceived and planned the study. IV, FC, PA, SM, and JA managed the animals. IV, CS, PA, IM, FC, and PT performed the laboratory analyses. IV, FC, PA, CS, SM, IM, JA, and PT performed data analyses and interpretation. IV, CS, JA, and PT conducted performed a literature search and wrote the paper. JA and PT supervised the project and provided funding. All authors reviewed the results and approved the final version of the manuscript.

Acknowledgements

We thank Bruce MacWhirter for the English revision of the manuscript. The authors acknowledge the use of Servicio General de Apoyo a la Investigación-SAI, Universidad de Zaragoza.

References

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  • Figure 1

    Plasma progesterone in pregnant ewes. Mean (±s.d.) plasma progesterone (P4) concentrations on day 21 of pregnancy in Rasa Aragonesa ewes that either did (MEL) or did not (CTR) receive a subcutaneous melatonin implant (*P < 0.05). Plasma samples were centrifuged and processed with diethyl ether at 80°C. P4 was extracted for evaporation by ultracentrifugation, and the concentration was measured by an ELISA kit and expressed as ng/mL. All analyses were repeated in duplicate. Melatonin implants increased the P4 level in plasma in pregnant ewes in the early stage of pregnancy.

  • Figure 2

    Embryo crown-rump. Mean (±s.d.) embryo crown-rump length measured immediately after uterus dissection on day 21 of pregnancy in Rasa Aragonesa ewes that either did (MEL) or did not (CTR) receive a melatonin implant. Embryos in the two groups appeared to be at the same stage in development (14–15 stage according to Carnegie classification (Butler and Juurlink 1987)) based on the measurement indicated in the violin plot (left). In addition, the distribution of embryos' crown-rump lengths was more restricted in the MEL group than it was in the CTR group.

  • Figure 3

    Gene expression profile of endometrium. Relative mRNA expression levels of angiogenic and developmentally relevant factors were determined in the intercaruncular (IC) and caruncular (C) endometrium of day 21 pregnant sheep implanted (MEL) or not (CTR) with melatonin for 50 days. Expression levels of the target genes were normalized to β-actin (ACTB) and GAPDH as internal controls. Data are reported as mean arbitrary units ± s.e.m. (*P < 0.05; **P < 0.01; ****P < 0.0001).

  • Figure 4

    Morphology, BNCs detection, and oPL expression in the placenta. The figure panel shows the morphology of chorion-allantois and vessels of the placentas in ewes that received a melatonin implant. (A) Placenta had a chorion that was mainly composed of mononuclear cuboidal-shaped cells in a well-organized layer that was juxtaposed to the allantoic tissue. (B,C) Early blood vessels are identified in the allantoic region (red arrows), where aSMA detection (red staining) revealed the vessels’ structure. (C) The photo on the bottom left shows an example of BNCs in the chorion layer (black arrows). (D,E) Placentas from MEL ewes had many more BNCs than did those from CTR ewes, and had a higher oPL expression. Data are reported as mean ± s.e.m. for BNC counts and oPL mRNA expression, respectively (*P < 0.05; ****P < 0.0001).

  • Figure 5

    Melatonin receptor detection in the placenta of sheep in early pregnancy. Western blot analysis revealed that the expression of melatonin receptors in the placenta was significantly higher in melatonin-treated ewes than it was in non-implanted ewes. The HC11 cell line was used as a positive control and aTUB was the reference protein. Densitometry is expressed as a mean ± s.d. (*P < 0.05).

  • Figure 6

    Gene expression profiles in the placenta. A panel of angiogenic factors involved in early placenta development was selected and their mRNA expression was studied in ewes that either did (MEL) or did not (CTR) receive a melatonin implant. Data are reported as mean ± s.e.m., and groups did not differ significantly.

  • Abd-Allah ARA, El-Sayed el SM, Abdel-Wahab MH & & Hamada FMA 2003 Effect of melatonin on estrogen and progesterone receptors in relation to uterine contraction in rats. Pharmacological Research 47 349354. (https://doi.org/10.1016/s1043-6618(0300014-8)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Abecia JA, Valares JA, Forcada F, Palacín I, Martín S & & Martino A 2007 The effect of melatonin on the reproductive performance of three sheep breeds in Spain. Small Ruminant Research 69 1016. (https://doi.org/10.1016/j.smallrumres.2005.12.018)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Abecia JA, Forcada F, Casao A & & Palacín I 2008 Effect of exogenous melatonin on the ovary, the embryo and the establishment of pregnancy in sheep. Animal 2 399404. (https://doi.org/10.1017/S1751731107001383)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Abecia JA, Forcada F, Vázquez MI, Muiño-Blanco T, Cebrián-Pérez JA, Pérez-Pe R & & Casao A 2018 Role of melatonin on embryo viability in sheep. Reproduction, Fertility, and Development 31 8292. (https://doi.org/10.1071/RD18308)

    • PubMed
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